Dr Moses Tabe Ambilichu, MD in Columbia, MO

Dr Moses Tabe Ambilichu, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Columbia, Missouri. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Success Health System Llc, Success Health System Llc, Shawnee Mission Medical Center Inc, Success Health System Llc, Mayo Clinic Health System-northwest Wisconsin Region Inc and his current practice location is 3600 Interstate 70 Dr Se Ste C, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (888) 410-5230.

Dr Moses Tabe Ambilichu is licensed to practice in Missouri (license number 2011019835) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073774238.

Contact Information

	Dr Moses Tabe Ambilichu, MD
	3600 Interstate 70 Dr Se Ste C, Columbia, MO 65201-6583
	(888) 410-5230
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Moses Tabe Ambilichu
Gender	Male
Speciality	Psychiatry
Experience	22 Years
Location	3600 Interstate 70 Dr Se Ste C, Columbia, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Moses Tabe Ambilichu graduated from medical school in 2002

NPI Data:

NPI Number: 1073774238
Provider Enumeration Date: 06/20/2008
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8224205307
Enrollment ID: I20120112000211

Medical Identifiers

Medical identifiers for Dr Moses Tabe Ambilichu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073774238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	04-39077 (Kansas)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	94029 (Georgia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2011019835 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth Shawnee Mission	Shawnee mission, KS	Hospital
Mayo Clinic Health System Eau Claire Hospital	Eau claire, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Success Health System Llc	2961787809	6
Success Health System Llc	2961787809	6
Shawnee Mission Medical Center Inc	9537119037	171
Success Health System Llc	2961787809	6
Mayo Clinic Health System-northwest Wisconsin Region Inc	4385553627	650

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Moses Tabe Ambilichu allows following entities to bill medicare on his behalf.

Entity Name	Great Mines Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035

Entity Name	Success Health System Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508310293 PECOS PAC ID: 2961787809 Enrollment ID: O20170316000937

Entity Name	Chestnut Health Systems, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20201008002798

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Moses Tabe Ambilichu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Moses Tabe Ambilichu, MD Po Box 716, Columbia, MO 65205-0716 Ph: (888) 595-5101	Dr Moses Tabe Ambilichu, MD 3600 Interstate 70 Dr Se Ste C, Columbia, MO 65201-6583 Ph: (888) 410-5230

Reviews and Comments

Psychiatry & Neurology Doctors in Columbia, MO

Dr. Anasseril E Daniel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 33 E Broadway Ste 115, Columbia, MO 65203 Phone: 573-443-6930 Fax: 573-875-4272
Dr. Joseph J. Parks, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Family Health Center Of Boone County, 1001 West Worley, Columbia, MO 35203 Phone: 573-214-2314 Fax: 573-814-2784
Dr. Robert Edward Frazier, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 367 Crown Pt, Columbia, MO 65203 Phone: 573-442-4346 Fax: 573-443-2027
Myles Brandon Goble, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 525 N. Keene Street, Suite 301, Columbia, MO 65201 Phone: 573-882-2260 Fax: 573-884-4249
Jeffrey Thiele, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Lisa A Lacey, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6480
Katie Detmer, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4209

Dr Moses Tabe Ambilichu, MD - Medicare Psychiatry in Columbia, MO